title: Solitary haemangioma of the shaft of long bones: resection and reconstruction with autologous bone graft.
abstract: Bone haemangiomas are uncommon lesions, occurring in the skull or spine. A solitary haemangioma in the diaphysis of a long bone is rare. We retrospectively investigated six patients who presented with a solitary haemangioma in a long bone diaphysis. After segmental bone resection, the bone defect was replaced by a bone autograft. Patients were reviewed clinically and with radiographs. The mean follow-up was 6 years (range : 1-20 years). At the time of latest follow-up, no patient had a recurrence. Postoperative complications were one wound necrosis and one superficial wound infection. Union of the gap filling graft with the host bone was achieved in all patients at an average of 4 months (range: 3-8 months). The average Musculoskeletal Tumor Society functional score was 77% (range: 53%-90%) of normal at 6 months postoperatively, and 97% (range: 95%-99%) at the last follow-up evaluation. Segmental resection for solitary haemangioma and reconstruction with autologous bone graft can be considered as a suitable treatment option.
authors.affiliation: Department of Orthopaedics No. 2, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, China. lizhaoxuglm@gmail.com
authors.forename: Zhaoxu
authors.initials: Z
authors.lastname: Li
authors.forename: Jicun
authors.initials: J
authors.lastname: Tang
authors.forename: Zhaoming
authors.initials: Z
authors.lastname: Ye
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation; D005260:Female; D006391:Hemangioma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D014182:Transplantation, Autologous